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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. UNKN LEGION TOTAL KNEE PRIM TIB INSERT XLPE; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

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SMITH & NEPHEW, INC. UNKN LEGION TOTAL KNEE PRIM TIB INSERT XLPE; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT Back to Search Results
Catalog Number UNKN01200216
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Failure of Implant (1924); Post Operative Wound Infection (2446)
Event Date 01/01/2019
Event Type  Injury  
Event Description
On the literature article named "a randomized controlled trial investigating the value of patient-specific instrumentation for total knee arthroplasty in the (b)(^) healthcare system", it was reported that, one patient in the psi group had an early postoperative wound infection and underwent irrigation, debridement, and polyethylene exchange.The patient originally underwent a tka surgery to treat osteoarthritis.
 
Manufacturer Narrative
H3, h6: the device, used in treatment, was not returned for evaluation and the reported event could not be confirmed.The clinical/medical investigation concluded that, without clinically relevant patient-specific supporting documentation, a thorough medical investigation could not be performed.The root cause of the post-op wound infection, irrigation, debridement, and polyethylene exchange and/or patient outcome beyond that which was documented in the article could not be confirmed nor concluded; therefore, no further medical assessment is warranted at this time.Should clinical documentation become available in the future, a thorough medical assessment may be rendered at that time.At this time, we have no reason to suspect that the product failed to meet any product specifications at the time of manufacture.Possible causes could include but are not limited to contamination, patient reaction, and post-operative healing issue.Based on this investigation, the need for corrective action is not indicated.Without the return of the actual product involved, our investigation could not proceed.Should the device or additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.
 
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Brand Name
UNKN LEGION TOTAL KNEE PRIM TIB INSERT XLPE
Type of Device
ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
Manufacturer (Section D)
SMITH & NEPHEW, INC.
1450 brooks rd.
memphis TN 38116
MDR Report Key12387421
MDR Text Key268790677
Report Number1020279-2021-06590
Device Sequence Number1
Product Code LXH
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Type of Report Initial,Followup
Report Date 09/30/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNKN01200216
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 08/12/2021
Initial Date FDA Received08/30/2021
Supplement Dates Manufacturer Received09/29/2021
Supplement Dates FDA Received09/30/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Other; Required Intervention;
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